Legislation may mandate staffing ratios (for example, 6 weeks to 12 months, 1:4; 12 months to 18 months, 1:5; 18 months to 24 months, 1:9; etc.). The caregiver-to-child ratio is one factor indicative of quality of care. Ratios vary greatly by location and by daycare center. Potential consequences of a caregiver:child ratio which is too high could be very serious. However, many states allow a higher numbers of toddlers to caregivers and some centers do not comply consistently. For example, within the US: Pennsylvania, ages 1–3, 1 teacher to 5 children; Missouri: age 2, 1 teacher to 8 children; North Carolina: 1 teacher to 10 children.
Individuals are prohibited from smoking in all facilities required to be licensed or registered for child care services. As of November 18, 2018, this includes private homes. Smoking, vaping and electronic cigarette use is prohibited at all times, even outside operating hours, in rooms where child care is provided in Family Day Care and Group Family Day Care homes.
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Due to social pressure, parents of sick children in childcare may be willing to give unnecessary medical care to their children when advised to do so by childcare workers and even if it is against the advice of health care providers. In particular, children in childcare are more likely to take antibiotics than children outside of childcare.
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Australia has a large child care industry, however in many locations (especially in inner-city suburbs of large cities and in rural areas) the availability is limited and the waiting periods can be up to several years. The Australian government's Child Care Subsidy scheme provides generous assistance with child care costs, but this still leaves many families with a large out of pocket expense. The median weekly cost of centre-based long day care in 2013 was approximately A$364 which puts it out of the reach of lower income earners. https://m.youtu.be/eeCahRCgOfI